2012, 01-13 Permit App: 12000103 Reroof.Community
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Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
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(Staff Use Only)
' PERMIT NUMBER: 1 Z — ( C
PERMIT FEE: j (� %s/
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REROOF CONSTRUCTION PERMIT APPLICATION
:. COMMERCIAL
SITE ADDRESS:
i ® RESIDENTIAL
L(J 7-41 £ IsrNA
ASSESSbRS
PARCEL NO.:3512j..51() LEGAL DESCRIPTION:
BUILDING
OWNERNAME:
NAME: dAVA44)
Y\3\1J I 1\)`,
ADDRESS:
E\A__1_-; V . �,�
CITY: J/
`�1y7(�%s,",1 ` ,\
vV�,NA: c STATE: W k ZIP: k f
PHONE:
SO"7 - 114 - —71,:l ID FAX: CELL:
CONTACT
NAME:
PHONE:
FAX: CELL:
CONTRACTOR
NAME:MCVAY BROTHERS
MAILING ADDRESS:11420
E. MONTGOMERY
CITY:SPOKANE
STATE:WA ZIP:99206
PHONE:(509)
928-4686 FAx:(509) 252-2996 CELL:NJA
CONTRACTOR
No.:N/IA
LICENSE NO.:MCVAY BC346M E EXPIRES:N/A CITY BUSINESS LICENSE
DESCRIBE
THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
3z 50 ; 'v R — o
Teai1
TOTAL
Off NI Overlay
OF PROJECT: $ 45j
(COST
DISCLAINIIER
verifies, acknowledges and agrees by their signature that: 1) If this permit Is for construction or on a dwelling, the dwelling Is/will
potable water. 2) Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the property
permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Itey Development code. Referenced codes are available for review at the City of !Spokane Valley Permit Center. 5) The City of
permit Is not a permit or approval for any violation of federal, state or local Taws, codes or ordinances. 6) Plans or additional
may be required to be submitted an ubsequently approved before this application =an be processed.
re `� %'!l Date: /1131J (Z..
The permitted
be served
owner or h
Spokane V
Spokane Valley
information
Sig nat
I InriatPri 1141-11
Received Time IJ a.n._ _1 3. w2Q 12a11 : 35ANtnN0. 6089ge/124/938/210/948/1496/Reroof Permit 1-11-11.doc
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